Background to this inspection
Updated
1 February 2024
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.
Inspection activity started 4 September 2023 and ended on 25 October 2023. We visited the location’s services on 5 and 27 September and the provider’s office on 25 October 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people who used the service about their experience of the care provided. We spoke with 7 members of staff including the registered manager, the service manager and 5 support staff. We reviewed a range of records. These included 4 people’s care records and medicines records. We looked at a variety of records relating to the management of the service including quality assurance audits and policies and procedures.
Updated
1 February 2024
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Tudor Gardens is a supported living service which provides personal care and support to people living in 3 shared houses for people with learning disabilities situated in Kingsbury. At the time of our inspection 15 people were being supported by the service.
People’s experience of using this service and what we found
Right Support: People were involved in the planning of their care and told us that they received support in accordance with their individual needs and preferences. Staff demonstrated a good understanding of people’s needs, preferences, and interests. People were supported to live the life they wanted by staff who knew them well and put them at the centre of decision making. Staff supported people to access specialist health and social care support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: Staff understood how to ensure people were protected from harm or abuse. Staff worked with people to identify and reduce the likelihood of risks to their wellbeing. Staff engaged with people in a respectful and friendly way. People were supported to participate in a wide range of activities of their choosing. People spoke positively about the staff who supported them.
Right Culture: The registered manager and staff knew and understood people well and were responsive in supporting their aspirations to live a quality life of their choosing. Staff ensured risks of a closed culture were minimised so that people received support based on respect and inclusivity. People were regularly asked for their views of the service and the support they received. The registered manager ensured staff received the training, information and support they required to support people effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service was good (published on 25 August 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.